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Characterization of Psychiatric Inpatients: The Role of Gender Differences in Clinical and Pharmacological Patterns. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Isabella Berardelli, Andrea Aguglia, Andrea Amerio, Salvatore Sarubbi, Elena Rogante, Maria A Trocchia, Davide Zelletta, Ludovica Longhini, Denise Erbuto, Fabrizio Pastorino, Dorian A Lamis, Marco Innamorati, Gianluca Serafini, Maurizio Pompili
Severe mental disorders that require hospitalization are disabling conditions that contribute to the burden of mental diseases. They pose increased clinical challenges and highlight the need to thoroughly explore variables emerging from daily clinical practice. In this study, we assessed to what extent gender differences may characterize a large population of psychiatric inpatients.
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The Relationship Between Depressive Symptoms and Psychological Variables in Patients With Schizophrenia. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Mehmet Murat Kirpinar, Omer Faruk Demirel
Depressive symptoms are common in schizophrenia and can be seen at any stage of the disease. Although various models have been proposed to explain the development of depression in schizophrenia, studies investigating related psychological factors are scarce and the studies that have been done usually focus on only a small number of possible factors.
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Dying to Quit: Understanding the Burden of Tobacco in Psychiatric Patients-A Clinical Review. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Steven Sprenger, J Scott Anderson
Smoking is the leading cause of preventable death worldwide and remains a critical public health challenge. The burden of disease caused by smoking is disproportionately borne by persons living with mental illness. Public health efforts to address smoking have not historically translated to a significant reduction in smoking prevalence among patients with mental illness. Smoking is a substantial cause
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Effects of Ziprasidone or Haloperidol on Theory of Mind in Patients With Schizophrenia: A 16-week Pilot Trial. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Jie Zhong, Yuan Jia, Hong Zhu, Dan Wang, Hongxiao Jia
Schizophrenia is associated with impairment in theory of mind (ToM), which is defined as the ability to make judgments about mental states and is related to medial prefrontal cortical activity. Ziprasidone, but not haloperidol, is known to have a protective effect in the medial prefrontal cortex. Thus, we hypothesized that these 2 drugs would have different efficacy in improving ToM task performance
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The Essential Parallels Between Clinical Practice and the Scientific Method. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Sheldon H Preskorn
This column presents a way of conceptualizing the clinical practice of medicine including psychiatry within the framework of the scientific method. The goal is to aid practicing clinicians as well as trainees. This conceptual framework will improve the care of patients as it applies a discipline relative to giving time-limited trials of the various treatments available and then an assessment of whether
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Cognitive Behavioral Therapy Approaches for Chronic Suicidality. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Evgenia Royter, Donna Sudak, Eric M Plakun,
This review provides an overview of research evidence from the past 5 years concerning cognitive behavioral therapy for suicide prevention. The authors then discuss the clinical implementation of this approach in patients with chronic suicidal behavior.
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Patient and Caregiver Depression in Jordan After a First Stroke. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Belal Aldabbour, Majdi Al Qawasmeh, Samah Elamassie, Amal Abuabada, Khalid Abdelrahman, Mohammad Zahran, Mays Khweileh, Khalid El-Salem
Poststroke depression among patients is well-recognized, while caregiver depression is understudied. The interaction between patient and caregiver depression is also unclear.
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Bridging Neuroscience and Clinical Assessment in a Patient with Alcohol Use Disorder, Anxiety, and Trauma. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Manesh Gopaldas, Elizabeth A Flook, Jennifer Urbano Blackford
This article presents a unique framework that combines insights from neuroscience with clinical assessment to evaluate individuals who have co-occurring alcohol use disorder, anxiety, and trauma. Through the use of a case study, the authors demonstrate the practical application of this framework and contextualize the relevant neurocircuitry associated with alcohol withdrawal, maladaptive fear and anxiety
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Anticipating Patient Safety Events in Psychiatric Care. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Maria C Yerstein, Deepika Sundararaj, Marissa McLean, David S Kroll
Although suicide prevention often dominates patient safety efforts in psychiatry and behavioral health, patients who seek such services are also prone to other kinds of adverse events. The purpose of this study was to more fully characterize the types of safety events that occur in the context of psychiatric care.
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Scam Susceptibility: Thoughts on How to Initially Approach and Manage Patients in a Geriatric Psychiatry Setting. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2024-01-01 Weijiao Huang, Anne Carlew, Collin Vas, Izabella De Abreu
Recent studies have demonstrated that older adults are more vulnerable to scams because of social isolation, economic affluence, mental disorders, struggles with technology, and cognitive impairments. In this report, we present the case of a 73-year-old man who fell victim to multiple scams over 8 years, leading to a loss of more than $100,000. We also discuss approaches to managing such patients in
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Psychodynamic Psychopharmacology: Caring for the Treatment-resistant Patient. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Richard F Summers
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The Relationship of Self-identified Weight Status With Perceived Mental and Physical Health. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Antonia Hamilton, Shannon R Smith, Janet A Lydecker
This study examined whether individuals with higher weight (body mass index in the overweight or obesity range) self-identified as having overweight or obesity (Ow/Ob). The study also examined whether self-identifying as having Ow/Ob was associated with perceived mental health, perceived physical health, depression, and eating disorder psychopathology.
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Methods Used to Control the Reproductive Choices of Women Who Are Sex Trafficked: Considerations for Health Care Providers. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Lindsey Limbaugh, Mollie R Gordon, Phuong Thanh Nguyen, Mayrose Porter, John Coverdale
Reproductive control or reproductive coercion has negative health consequences but has not been systematically studied within the context of sex trafficking. Our goal is to identify the range of methods used by sex traffickers and buyers to control the reproductive choices of trafficked women and to provide specific examples of these methods. We searched PubMed, Embase, and PsycInfo using the terms
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A Cardiovascular Risk Optimization Program in People With Schizophrenia: A Pilot Randomized Controlled Clinical Trial. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Núria Riera-Molist, Montse Assens-Tauste, Pere Roura-Poch, Marta Guimerà-Gallent, Josep Manel Santos-López, Montserrat Serra-Millas, Neus Frau-Rosselló, Estefania Gallego-Peña, Quintí Foguet-Boreu
Cardiovascular disease is one of the leading causes of premature death in people with schizophrenia. Some modifiable factors that have been implicated include unhealthy lifestyle, medication side effects, and physical comorbidities. The goal of this study was to assess the efficacy of a 6-month, multifactorial cardiovascular risk intervention to reduce cardiovascular risk (CVR) in people with schizophrenia
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Personalized Medicine in the Treatment of a Patient With Obsessive-Compulsive Disorder With Clomipramine. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Sheldon H Preskorn, Ryan Rode
Clomipramine (CIMI) is an effective treatment for obsessive-compulsive disorder in patients who have failed to respond to trials of selective serotonin transport inhibitors (eg, sertraline). The case presented here illustrates how knowledge of the pharmacodynamics and pharmacokinetics of CIMI in a specific patient can be used to personalize treatment to optimize the likelihood of efficacy (ie, maximum
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Psychotherapy and Artificial Intelligence. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Eric M Plakun
This column explores the challenges involved in providing psychotherapy through artificial intelligence. It reviews artificial intelligence's capacity across schools of therapy to address relevant issues related to privacy, the use of technical interventions, and the therapeutic relationship.
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Extreme Risk Protection Orders: Legislative Intent and Clinician Guidance. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Hal S Wortzel, Joseph A Simonetti, Christopher E Knoepke, Joseph R Simpson, Leah Brar, Patricia Westmoreland, Bridget B Matarazzo
In this second column of a 2-part series exploring extreme risk protections orders, we utilize recent events in Colorado, including legislative efforts to expand the list of eligible petitioners to include clinicians, as an opportunity to explore questions and challenges faced by mental health and medical professionals serving in this capacity. Clinicians are in need of more clear guidance, given an
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Psychiatric Treatment of Medical Colleagues and Their Families: Potential Risks. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Eduardo Constantino, Thomas Spina
Clinicians treating "very important persons" face potential problems that can negatively impact the quality of care they provide. Mental health professionals face similar pressures, particularly when asked to treat a particular kind of patient who is a very important person: medical colleagues or their family members. The authors present 3 cases that exemplify possible risks associated with the psychiatric
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The Neuropsychiatric Side of Cerebral Venous Thrombosis: A Case of Delirium and Catatonia. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Metzli Calva-González, Triana Juliana Tello-Gerez, Fabiola Serrano-Arias, Vanessa Cano-Nigenda, Jesus Ramírez-Bermúdez
We report a patient with cerebral venous thrombosis who initially presented with psychosis and who then progressed to delirium and catatonia within a few days. Upon treatment and resolution of the thrombosis, she presented complete remission of the psychiatric disturbances. This case highlights a specific neuropsychiatric presentation of cerebral venous thrombosis involving psychosis, catatonia, and
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Catatonia as the Presentation of Encephalopathy Associated With Autoimmune Thyroiditis: A Case Report and Literature Review. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-11-01 Hossam Tharwat Ali, Farah Riyad Mohamed, Ahmed Khaled Al-Ghannami, Ana Leticia Fornari Caprara, Jamir Pitton Rissardo
Encephalopathy can be associated with autoimmune disorders such as autoimmune thyroiditis, and it can present with a wide range of neuropsychiatric manifestations. However, it rarely presents with catatonia. We present the case of a middle-aged female with Hashimoto's thyroiditis presenting with catatonia. A literature review of previous similar cases highlighting significant points is also included
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The Effect of Affective Temperament, Pain Catastrophizing, and Anxiety Sensitivity on Pain Severity in Patients With Chronic Pelvic Pain: A Pilot Study. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-10-09 Özlem Kayacik Günday, Hatice Harmanci, Yiğit Şenol
The goals of this study were to investigate whether there was a dominant temperament type, and to assess the effect of temperament, pain catastrophizing, and anxiety sensitivity on pain severity, in female patients diagnosed with chronic pelvic pain (CPP) compared with healthy controls.
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Psychedelics, With a Focus on Psilocybin: Issues for the Clinician. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Amir Garakani, Jeanne L Alexander, Calvin R Sumner, Janet H Pine, Lawrence S Gross, Charles L Raison, Scott T Aaronson, David A Baron
There has been a burgeoning interest in psychedelics among the public, state legislatures, psychiatrists and other clinical providers, and within the research community. Increasing numbers of studies evaluating psychedelics for depression, anxiety, posttraumatic stress disorder, and substance use disorders have been conducted or are underway. While discussing psychedelics in general, the focus of this
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Acute Treatment of Adolescent Cannabinoid Hyperemesis Syndrome With Haloperidol, Lorazepam, and/or Capsaicin: A Single Institution Case Series. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Jerry M Brown, Michael J Wilsey, Leila Dhana, Hannah Lonsdale
Cannabinoid hyperemesis syndrome (CHS), an under-recognized and seemingly paradoxical condition, arises in some adolescents and adults who chronically use cannabis. It presents acutely with intractable nausea, vomiting, and abdominal pain but standard antiemetic therapy leads to improvement for only a minority of patients. Randomized controlled trial evidence in adults indicates the superiority of
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Prescribing Practices for Agitation Medication in Obese Patients Admitted to the Emergency Department. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Connie Kang, Andrew Williams, Niyati Butala
Weight is a factor that influences the dosages of many medications, although no clinical studies have evaluated this factor in the use of agitation medications in the obese population. The objectives of this study were to assess the need for weight considerations in dosing antipsychotics and benzodiazepines for patients with agitation and to assess prescribing patterns in agitated patients.
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Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Ipsit V Vahia, Rachel N Sava, Hailey V Cray, Heejung J Kim, Rebecca A Dickinson, Kerry J Ressler, Ana F Trueba
Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists' use of patients' electronic
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Eight Clinical Cases and the Lessons They Taught. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Sheldon H Preskorn
Eight different cases are presented in this column, along with the lessons and principles that can be learned from each. The lessons and principles are general in nature and hence they are applicable to patients that readers will likely encounter.
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Contending With Polarization in the Expanding Scope of Psychotherapy. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Jon G Allen
The author queried 32 colleagues about their sense of polarization in the field of psychotherapy, using as an example the contrast between generalists (like himself) and specialists. This query was inspired by the proliferation of brands of psychotherapy coupled with the dominance of cognitive-behavioral therapies. His key conclusions: (a) tensions in the field are associated with a multitude of polarities
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Incels: An Introduction for Mental Health Clinicians. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Camille A Tastenhoye, Juliette Dupré, Nina E Ross, Tanya V Bodnar, Susan Hatters Friedman
Involuntary celibates ("incels") refers to a group consisting mostly of heterosexual men that exists predominantly in online spaces. These men are united by a belief that they are victimized by a postfeminist society, leading to an inability to engage in sexual intimacy with women. Recent acts of mass violence have been linked to self-identified incels, leading to an increased need for awareness of
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The Triple "S" Impact of COVID-19: Nationwide Evidence of the Impact of the Stress Associated With Restrictive Measures on Substance Use, Sleep, and Social Connectedness in Qatar. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Muna Abed Alah, Sami Abdeen, Vahe Kehyayan, Iheb Bougmiza
Countries worldwide implemented social and movement restrictions to contain the spread of coronavirus disease 2019 (COVID-19). Unfortunately, such restrictions have adversely impacted people's lifestyles. The goal of this study was to assess the impact of COVID-19-related restrictive measures on substance use, sleep, and social connectedness in Qatar's population.
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Polymicrogyria: An Unusual Case of Secondary Mania. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Jacobo Chacón-González, Miguel Restrepo-Martínez, Álvaro Moreno-Avellán, Jesús Ramírez-Bermúdez
Secondary mania refers to a manic episode that arises during a medical illness other than bipolar disorder or in response to a drug or medication. As the psychopathological features of secondary mania resemble those of mania due to bipolar disorder, misdiagnosis is frequent.
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Commentary: Mania in Medically Ill Patients. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-09-01 Amir Garakani
Patients may present with manic symptoms in medical settings such as emergency rooms and on inpatient medical floors, leading to psychiatric consultation to try to determine the etiology of the symptoms. It is crucial to clarify whether the mania is secondary to a medical illness or whether the patient's symptoms are from a primary bipolar disorder. In this issue, we publish 2 case reports of patients
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Behçet Disease and Bipolar Disorder: A Case Report and Review. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-08-28 Rodrigo Ferreira da Mota Freitas, Ana Pestana Boavida Monteiro Guerra
Behçet disease (BD) is a rare, multifactorial condition with multiple manifestations affecting various systems. Bipolar disorder has been reported as more frequent in individuals with BD than in the general population. We report a case of BD and bipolar disorder and summarize previous findings in the literature concerning this topic. Our case illustrates the relevance of managing comorbid BD and bipolar
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Sociodemographic Characteristics and Clinical Profile of Suicide Attempters Attending the Emergency Department at a Tertiary Care Hospital in Oman: A Retrospective Study. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-08-14 Mahmood Al Khatri, Salim Al Huseini, Mandhar Almaqbali, Angie Cucchi, Al-Khatib Al Saadi, Abdulmunim Al Farsi, Sachin Jose, Nasser Al-Sibani, Samir Al-Adawi
This study examined the sociodemographic and clinical characteristics of individuals who attended the emergency department of a tertiary care center in Muscat, Oman following a suicide attempt.
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Fragile Brilliance: The Troubled Lives of Herman Melville, Edgar Allan Poe, Emily Dickinson, and Other Great Authors. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 William Tucker
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From the Editor Flourishing and Forgiving. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 John M Oldham
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The New York Misophonia Scale (NYMS): A New Instrument to Identify Misophonia in the General Population. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Usha Barahmand, Maria E Stalias-Mantzikos, Ying Xiang, Esther Rotlevi
Misophonia is a condition in which certain sounds and behaviors elicit distress that ranges from mild annoyance to disgust or anger. The aim of this research was to develop and validate an instrument to screen for misophonia in the general population. Study 1 developed and explored the factor structure and item quality of the New York Misophonia Scale (NYMS), which originally included 42 triggers and
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Increased Dispersion of Ventricular Repolarization as an Arrhythmic Risk Marker in Drug-free Patients With Major Depressive Disorder: A Preliminary Comparative Study. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Yasin H Balcioglu, Hasan Gokcay, Simge S Kirlioglu Balcioglu, Mustafa Solmaz
Drug-free patients with major depressive disorder (MDD) are understudied in terms of increased risk for arrhythmias. In this study, we compared changes in corrected QT interval (QTc), QTc dispersion (QTcd), Tpeak-Tend (Tp-e), Tp-e/QT ratio, corrected JT interval (JTc), and JTc dispersion (JTcd), which are considered to be among the risk factors for the emergence of ventricular arrhythmias in patients
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"Psychotherapy in the Pressure Cooker": A Systematic Review of Single Session Psychosocial Interventions in Emergency Departments for Suicide-related Thoughts or Behaviors. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Gabrielle Bossé Chartier, Frederick Lam, Yvonne Bergmans, Jodi Lofchy, James M Bolton, E David Klonsky, Juveria Zaheer, David Kealy
Up to 20% of individuals who die by suicide have visited an emergency department (ED) within 4 weeks of their death. Limited guidance is available regarding the modification of clinical outcomes following a psychosocial intervention in the ED for pediatric and adult populations.
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Studying the Feasibility and Acceptability of an Interactive Web-based Lethal Means Safety Decision Aid for Hospitalized Adults With Suicide Risk (Lock to Live). J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Mandeep Singh, Brian Levins, William V McCall, Michael Anderson, Erik Olsen, Victoria Yee, Michaela Cushing, E Vanessa Spearman-McCarthy
Lock to Live is an interactive web-based lethal means safety decision aid that promotes temporary storage of firearms and medications. It has primarily been provided to suicidal patients in emergency department settings. The goal of this study was to evaluate the feasibility and acceptability of the Lock to Live decision aid with hospitalized adults at increased risk of suicide.
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Psychodynamic Therapy: An Overview for Trainees and Their Teachers: Part 2-The Therapeutic Stance. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Eric M Plakun
This second column in a series on psychodynamic therapy (PDT) offers an overview of concepts related to the therapeutic stance of PDT. It reviews resistance, components of the therapeutic relationship, and elements that constitute the therapeutic stance of PDT.
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Argument-based Ethics and Mandatory Reporting Laws for Trafficked Persons. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Rebecca Chen, Rachel Robitz, Beatrice Nichols, John Coverdale, Phuong Nguyen, Mollie Gordon
Human trafficking, which includes sex and labor trafficking, is a pressing issue that needs to be more adequately addressed. Health care professionals have a unique opportunity to assist people who are experiencing human trafficking. However, no consensus exists concerning the involvement of law enforcement through mandatory reporting of trafficked adults. This column uses argument-based ethics to
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Reduction in Cognitive Symptoms Following Intranasal Esketamine Administration in Patients With Chronic Treatment-resistant Depression: A 12-Week Case Series. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Maria Pepe, Giovanni Bartolucci, Ilaria Marcelli, Alessio Simonetti, Giovanni Camardese, Marco Di Nicola, Gabriele Sani
Cognitive symptoms are a core feature of depressive disorders, interfere with full functional recovery and are prominent in patients with treatment-resistant depression (TRD), particularly in severe chronic cases. Intranasal (IN) esketamine was recently approved for the treatment of TRD; however, its effects on cognitive symptoms are unclear. In this article, we describe cognitive changes in 8 patients
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Mood Disorder or Psychotic Disorder? Yes: A Case Report on Cycloid Psychosis. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-07-01 Kimberly Hsiung, Maja Skikic
Cycloid psychosis is a disorder defined by episodic, acute psychoses involving thought, affect, and motor disturbances with polymorphous symptomatology followed by periods of full remission. Antipsychotics, benzodiazepines, and electroconvulsive therapy have been used empirically in acute treatment. This disorder has faced nosologic challenges and is not yet identified as a diagnostic entity by the
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Navigating Autism: 9 Mindsets For Helping Kids on the Spectrum. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Teresa Daly
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Artificial Intelligence in Violence Risk Assessment: Addressing Racial Bias and Inequity. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Robert Ratajczak, Richard G Cockerill
Although there has been no shortage of technological innovation in recent decades, a solution to sociodemographic disparities in the forensic setting has remained elusive. Artificial intelligence (AI) is a uniquely powerful emerging technology that is likely to either exacerbate or mitigate existing disparities and biases. This column argues that the implementation of AI in forensic settings is inevitable
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Acute Mania in a Patient With Primary Adrenal Insufficiency Due to Autoimmune Adrenalitis: A Case Report. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Nolan J Brown, Alex Wang, Gianna Fote, Chris Gabriel, Reza Farokhpay, John Luo
We describe a rare case of acute mania in the setting of autoimmune adrenalitis. A 41-year-old male with no previous psychiatric diagnoses presented with impulsivity, grandiosity, delusions of telepathy, and hyperreligiosity following a previous hospitalization for an acute adrenal crisis and 2 subsequent days of low-dose corticosteroid treatment. Workups for encephalopathy and lupus cerebritis were
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Impulsivity in Depression: Its Relation to Suicidality. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Çağri Öğüt, Koray Başar, Sevilay Karahan
Impulsivity is an important risk for suicidality, which is common in patients with major depressive disorder (MDD). The goal of this study was to examine multiple facets of impulsivity in depressed patients compared with healthy controls and to assess their relationship to suicidality.
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Antidepressant Strategies for Treatment of Acute Depressive Episodes Among Veterans. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Paulo R Shiroma, Paul Thuras, David M Atkinson, Eric Baltutis, Martin Bloch, Anders Westanmo
The 2016 VA/DoD Clinical Practice Guideline for Management of Major Depressive Disorder offers consensus-based recommendations when response to the initial antidepressant medication is suboptimal; however, little is known about "real-world" pharmacological strategies used by providers treating depression in the Veterans Affairs Health Care System (VAHCS).
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Afterword to "Through The Valley of the Shadow of Death. Journey Through Major Mental Illness as Experienced by a Mental Health PhD Candidate". J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Eric M Plakun
The author describes her struggle with depression and borderline personality disorder, self-harm, and suicidality. She first reviews the long years during which she did not respond to any of the numerous antidepressant medications that were prescribed. She then describes how she finally achieved healing and good functioning as a result of long-term caring psychotherapy in the context of a strong therapeutic
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Seven Mechanistically Different Classes of Medications Can Be Used to Treat Insomnia and Related Sleep Disorders. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Sheldon H Preskorn
This column reviews the neurobiology of the sleep-wake cycle as it is currently known, the 7 classes of currently available sleep-enhancing medications, and how their mechanisms of action relate to the neurobiology of sleep. Clinicians can use this information to select medications for their patients, which is particularly important because some patients respond to some of these medications but not
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Through The Valley of the Shadow of Death. Journey Through Major Mental Illness as Experienced by a Mental Health PhD Candidate. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Kirsty M McAllister
The author describes her struggle with depression and borderline personality disorder, self-harm, and suicidality. She first reviews the long years during which she did not respond to any of the numerous antidepressant medications that were prescribed. She then describes how she finally achieved healing and good functioning as a result of long-term caring psychotherapy in the context of a strong therapeutic
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Causal Beliefs About and Perceptions of Illness in Persons Experiencing Schizophrenia and in Close Relatives of Such Individuals: An Exploratory Study. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Murielle V Villani, Viviane Kovess-Masféty
The cause to which persons experiencing schizophrenia attribute their illness influences emotional and adjustment variables. This is also true for close relatives (CRs), who are important players in the affected individual's environment and whose mood can influence the person's day-to-day life or treatment adherence. Recent literature has highlighted a need to further explore the impact of causal beliefs
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Wild and Willful Kids: Can We Help Parents? The Effectiveness of a Group Parent Training Program Without a Psychiatric Label. J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Maruschka N Sluiter, Elisabeth H Bos, Jeannette M Doornenbal, Peter de Jonge, Laura Batstra
Many children with a classification of attention-deficit/hyperactivity disorder exhibit mild-to-moderate problem behavior. For these children, a stepped diagnosis and stepped care approach has been proposed. Although a psychiatric classification may bring support to families, it may also have negative consequences. Therefore, in this preliminary study, the effect of a group parent training program
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A New Treatment Program: Focused Integrated Team-based Treatment Program for Bipolar Disorder (FITT-BD). J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-05-01 Louisa G Sylvia, Roberta E Tovey, Douglas Katz, Chelsea Boccagno, Audrey R Stromberg, Amy T Peters, Christina M Temes, Alexandra K Gold, Jessica Mow, Nicha Puvanich, Evan A Albury, Nicole J Stephan, Caylin M Faria, Andrew A Nierenberg, Masoud P Kamali
Bipolar disorder (BD) is complicated by a dynamic, chronic course along with multiple comorbid psychiatric and medical conditions, making it challenging for clinicians to treat and patients to thrive. To efficiently manage the complexity of BD and help patients recover, we developed a Focused Integrated Team-based Treatment Program for Bipolar Disorder (FITT-BD). The purpose of this paper is to describe
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Can the Publication of Case Series or Case Reports Lead to a Change in Clinical Practice? J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-03 Sheldon H. Preskorn, Austin G. Armstrong
This column provides some criteria for evaluating whether a case series or case report may warrant publication. It will emphasize the value of having biomarker data in addition to clinical data to enhance the potential validation of the report and provide ways to test the findings in randomized, controlled clinical trials (RCTs). The potential validity of the case series or report is also high if the
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Psychodynamic Therapy: An Overview for Trainees and Their Teachers: Part 1–The Basics J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-03 Eric M. Plakun
This first column in a series on psychodynamic therapy (PDT) offers an overview of the basics required to understand and master the provision of PDT. It offers a way of understanding what patients struggle with when viewed through a psychodynamic lens and then examines evidence-based core elements of psychotherapy and PDT.
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Mechanisms Linking Perfectionism and Social Anxiety: The Role of Hostility and Disqualification of Positive Social Outcomes J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-01 Usha Barahmand, Naila Shamsina, Katty Rojas, Najae Geschwind, Fatima Haruna Iya
While considerable research has focused on maladaptive perfectionism as a risk factor for social anxiety, little attention has been given to the mechanisms that mediate the effects. We integrated perfectionism with the bivalent fear of evaluation model of social anxiety to investigate 2 hypothesized mechanisms: hostile attribution bias and disqualification of positive social outcomes (DPSO). Specifically
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Second Opinions for Patients With a Persistent Depressive Disorder: Effects on Severity of Depression and Quality of Life J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-01 Anneke M.R. de Vocht, Cillia L.M. Witteman, Frank de Vocht, Jan Spijker
Background: A persistent depressive disorder has a major impact on both patients and health care systems. Despite the advice in guidelines to seek a second opinion if there is insufficient evidence of recovery after treatment, and the great number of second opinions in psychiatric care for patients with persistent depression, only a few studies have been published about their effects. Methods: Multilevel
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Suicidal Behavior and Difficulty of Patients, as Perceived by Community Mental Health Nurses J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-01 Mark van Veen, Bauke Koekkoek, Margot Kloos, Arjan W. Braam
Background: Mental health professionals who work in community mental health services play an important role in treating patients after attempted suicide or deliberate self-injury. When such behaviors are interpreted negatively, patients may be seen as difficult, which may lead to ineffective treatment and mutual misunderstanding. Objective: The goal of this study was to assess the association between
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Motor Proficiency, Manual Dexterity, and Visual Perception in School-age Children With ADHD: Contribution of Different Comorbidities J. Psychiatr. Pract. (IF 1.9) Pub Date : 2023-03-01 Nilay Şahan, Songül Atasavun Uysal, Halime T. Çak
Attention-deficit/hyperactivity disorder (ADHD) is often comorbid with a number of other psychiatric conditions. The goal of this study was to investigate whether motor skills, manual dexterity, and visual perception differ in the presence of ADHD and comorbid psychiatric conditions in school-age boys by comparing them to a group of children with typical development (TD). We evaluated 81 boys 6 to